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The primary goal of a psychiatric rehabilitation program is to promote
- A. Return to prior level of functioning.
- B. Medication compliance.
- C. Complete recovery from mental illness.
- D. Stabilization and management of symptoms.
Correct Answer: C
Rationale: Psychiatric rehabilitation aims for recovery, personal growth, and community reintegration, beyond just symptom management or medication compliance.
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Which is the orientation of assertive community treatment (ACT)?
- A. Setting limits on mundane life issues
- B. Making a wide range of referrals
- C. Providing services in offices
- D. Problem-solving orientation
Correct Answer: D
Rationale: ACT adopts a problem-solving orientation, delivering direct services in clients' homes or communities, not through referrals or office-based care.
The factor having the most influence on the current trend in treatment settings is the fact in recent years,
- A. Funding for community programs has been inadequate.
- B. Laws have enabled more people to be committed to treatment.
- C. State hospitals have expanded to meet the demand.
- D. Community programs have been fully developed to meet treatment needs.
Correct Answer: A
Rationale: Inadequate funding for community programs has limited their ability to replace state hospital care, driving trends toward community-based treatment. Commitment laws led to deinstitutionalization, state hospitals have not expanded, and community programs are not fully developed.
Which element would be present in an assertive community treatment (ACT) program?
- A. 24-hour-a-day services
- B. Infrequent contact with clients
- C. Many clients to each staff member
- D. Limited length of service
Correct Answer: A
Rationale: ACT provides 24-hour, intensive, ongoing support in clients' communities, with low client-to-staff ratios and unlimited service duration.
A patient has just been referred to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include.
- A. Continuous monitoring of symptoms.
- B. Increased independence.
- C. Increased involvement in treatment decisions.
- D. Recovery from mental illness.
- E. Increased community integration.
- F. Greater opportunities for personal growth.
Correct Answer: B,C,D,E,F
Rationale: Psychosocial rehabilitation promotes recovery, independence, community integration, treatment involvement, and personal growth, not continuous symptom monitoring.
The primary advantage of an evolving consumer household is that clients
- A. Are provided with adequate income to combat poverty.
- B. Do not have to relocate as they become more independent.
- C. Have on-site staff supervision 24 hours a day.
- D. Receive on-site medical care.
Correct Answer: B
Rationale: Evolving consumer households offer permanent living, eliminating the need for relocation as clients gain independence. They do not inherently provide income, 24-hour supervision, or on-site medical care.